Does meningitis cause neurological deficits?

Does meningitis cause neurological deficits?

Conclusions: Neurological sequelae occur in a substantial amount of patients following bacterial meningitis. Most frequently reported sequelae are focal neurological deficits, hearing loss, cognitive impairment and epilepsy.

What is the type of neurologic exam performed to patient with meningitis?

Cerebrospinal fluid test This is the only test that can truly diagnose meningitis. To perform this test, your doctor inserts a needle into your spine in order to collect cerebrospinal fluid (CSF) that’s found around your brain and spinal cord.

What are symptoms of meningitis in the brain?


  • Sudden high fever.
  • Stiff neck.
  • Severe headache that seems different from normal.
  • Headache with nausea or vomiting.
  • Confusion or difficulty concentrating.
  • Seizures.
  • Sleepiness or difficulty waking.
  • Sensitivity to light.

What is the clinical presentation of meningitis?

The most common clinical presentation of meningitis was altered mental status followed by neck stiffness and headache; less common symptoms included vomiting (n = 12), photophobia (n = 5), and seizures (n = 4).

What is focal neurological deficit?

A focal neurologic deficit is a problem with nerve, spinal cord, or brain function. It affects a specific location, such as the left side of the face, right arm, or even a small area such as the tongue. Speech, vision, and hearing problems are also considered focal neurological deficits.

What are the differential diagnosis of meningitis?

The differential diagnosis of meningitis and encephalitis includes bacterial, viral, fungal, and autoimmune etiologies.

What do you assess for meningitis?

For a definitive diagnosis of meningitis, you’ll need a spinal tap to collect cerebrospinal fluid (CSF). In people with meningitis, the CSF often shows a low sugar (glucose) level along with an increased white blood cell count and increased protein.

What history and physical findings are common in the patient with meningitis?

History. Meningococcal meningitis is characterized by acute onset of intense headache, fever, nausea, vomiting, photophobia, and stiff neck. Elderly patients are prone to have an altered mental state and a prolonged course with fever. Lethargy or drowsiness in patients frequently is reported.

What are significant signs of acute bacterial meningitis?

The most common symptoms of bacterial meningitis are:

  • Painful, stiff neck with limited range of motion.
  • Headaches.
  • High fever.
  • Feeling confused or sleepy.
  • Bruising easily all over the body.
  • A rash on the skin.
  • Sensitivity to light.

How do you perform brudzinski’s test?

The Brudzinski sign is another way to diagnose meningitis….To check for the Brudzinski sign:

  1. Lie flat on your back.
  2. Your doctor will place one hand behind your head, and another on your chest to prevent you from rising.
  3. Then, your doctor will lift your head, bringing your chin to your chest.

Which of the following are typical signs and symptoms of most cases of meningitis?

However, most people with meningitis tend to have two of the four following symptoms:

  • Fever.
  • Headache.
  • A stiff neck.
  • Altered mental status, for example confusion, disorientation or unusual sleepiness.

What are neurological signs?

Neurological symptoms that may accompany other symptoms affecting the nervous system including:

  • Altered smell or taste.
  • Burning feeling.
  • Confusion or cognitive changes.
  • Fainting, lethargy, or change in your level of consciousness.
  • Involuntary muscle contractions (dystonia)
  • Loss of balance.
  • Muscle weakness.
  • Numbness.